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锂中毒导致老年患者 ST 段抬高和游走性房性节律。

Lithium intoxication causing ST segment elevation and wandering atrial rhythms in an elderly patient.

机构信息

Department of Cardiology, Meram Faculty of Medicine, Selcuk University, Konya, Turkey.

出版信息

Cardiol J. 2010;17(4):404-7.

PMID:20690099
Abstract

Lithium overdoses causing cardiotoxicity are uncommon and electrocardiographic changes suggesting myocardial ischemia are rare. However, some authors have specifically reported the occurrence of ischemic electrocardiography changes due to a lithium overdose. This paper describes a case where electrocardiography changes mimic inferior myocardial infarction during the course of chronic lithium treatment in an elderly patient. The patient's electrocardiography changes were partially resolved after hemodialysis.

摘要

锂过量导致的心脏毒性并不常见,提示心肌缺血的心电图改变也很少见。然而,一些作者专门报道了锂过量引起的缺血性心电图改变的发生。本文描述了一例老年患者在慢性锂治疗过程中心电图改变类似于下壁心肌梗死的病例。患者的心电图改变在血液透析后部分得到缓解。

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Lithium-induced ECG modifications: navigating from acute coronary syndrome to Brugada syndrome.锂诱导的心电图改变:从急性冠脉综合征到 Brugada 综合征。
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Lithium-induced electrocardiographic changes: A complete review.锂诱导的心电图变化:全面综述。
Clin Cardiol. 2017 Dec;40(12):1363-1367. doi: 10.1002/clc.22822. Epub 2017 Dec 16.
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Lithium Toxicity in Older Adults: a Systematic Review of Case Reports.老年人锂中毒:病例报告的系统评价。
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Iran Red Crescent Med J. 2016 Jun 1;18(7):e21731. doi: 10.5812/ircmj.21731. eCollection 2016 Jul.
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Electrocardiographic changes caused by lithium intoxication in an elderly patient.一名老年患者锂中毒引起的心电图变化。
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Extracorporeal Treatment for Lithium Poisoning: Systematic Review and Recommendations from the EXTRIP Workgroup.锂中毒的体外治疗:EXTRIP工作组的系统评价与建议
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